RUSSELL TANNER, P.A.-C

P.A.-C

Medical Physician Assistant

NPI: 1871544486Individual

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA02552(TX)

Contact & Hours

Address: 808 WOODROW WILSON RAY CIR
BRIDGEPORT, TX 76426
Phone: (940) 683-2297

Quick Facts

NPI: 1871544486
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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